Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic Fibrosis
Relevance. The absence of a system of epidemiological surveillance of chronic lung infection (CLI) in patients with cystic fibrosis (CF) led to the spread of Staphylococcus aureus, Pseudomonas aeruginosa, Burkholderia cepacia complex and Achromobacter spp. among patients with CF during hospitalizati...
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| Format: | Article |
| Language: | Russian |
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Numikom LLC
2020-03-01
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| Series: | Эпидемиология и вакцинопрофилактика |
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| Online Access: | https://www.epidemvac.ru/jour/article/view/921 |
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| author | L. R. Avetisyan I. A. Shaginyan M. Yu. Chernukha E. M. Burmistrov O. S. Medvedeva E. V. Rusakova E. A. Siyanova Е. I. Kondrateva A. G. Chuchlin A. L. Ginzburg |
| author_facet | L. R. Avetisyan I. A. Shaginyan M. Yu. Chernukha E. M. Burmistrov O. S. Medvedeva E. V. Rusakova E. A. Siyanova Е. I. Kondrateva A. G. Chuchlin A. L. Ginzburg |
| author_sort | L. R. Avetisyan |
| collection | DOAJ |
| description | Relevance. The absence of a system of epidemiological surveillance of chronic lung infection (CLI) in patients with cystic fibrosis (CF) led to the spread of Staphylococcus aureus, Pseudomonas aeruginosa, Burkholderia cepacia complex and Achromobacter spp. among patients with CF during hospitalizations, that is proved by numerous cases of infection in patients with CF treated in various Russian clinics.Aims. Determine the directions of epidemiological surveillance (ES) for CLI in patients with CF and preventive measures necessary to counteract the cross-infections among patients with CF and the spread of the dominant pathogens of CLI in the hospital.Materials and methods. A complex of epidemiological, microbiological and molecular genetic methods was used.Results and discussion. Based on the results of studies of the epidemiological and microbiological features of infections caused by the above-mentioned pathogens, the directions of ES and preventive measures for CF were determined. The tasks of the information-analytical unit, including the monitoring of morbidity and microbiological monitoring, are substantiated. It has been established that in the framework of microbiological monitoring, it is necessary to conduct bacteriological examination of biomaterial from the respiratory tract of patients with CF not less than 1 time per quarter, as well as at each outpatient visit and at hospitalization. The necessity of studying the phenotypic properties of pathogens contributing to long-term persistence in the patient's body of the CF, the definition and monitoring of the antibiotic sensitivity of microorganisms isolated from the patient over time, and the study of hypermutability was shown. One of the main tasks of monitoring is molecular genetic analysis of pathogens by PCR for the purpose of intraspecies identification, typing of pathogens and detection of epidemic markers and clones (including international ones), identification of genetic determinants of antibiotic resistance.Conclusion. The introduction of ES for chronic lung infection will improve the quality of etiological diagnosis, will contribute early identification of the sources of infections and prevent the spread of CLI pathogens among patients with CF in hospitals and in non-hospital conditions, as well as optimize the tactics of CLI antimicrobial therapy. The main directions of preventing the spread of CLI pathogens should be the separation of patients with various infections during outpatient examination and isolation during hospitalization. |
| first_indexed | 2024-04-10T02:49:57Z |
| format | Article |
| id | doaj.art-7088b76e94a04b17bb46eda0770782e4 |
| institution | Directory Open Access Journal |
| issn | 2073-3046 2619-0494 |
| language | Russian |
| last_indexed | 2024-04-10T02:49:57Z |
| publishDate | 2020-03-01 |
| publisher | Numikom LLC |
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| series | Эпидемиология и вакцинопрофилактика |
| spelling | doaj.art-7088b76e94a04b17bb46eda0770782e42023-03-13T07:43:17ZrusNumikom LLCЭпидемиология и вакцинопрофилактика2073-30462619-04942020-03-01191142310.31631/2073-3046-2020-19-1-14-23608Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic FibrosisL. R. Avetisyan0I. A. Shaginyan1M. Yu. Chernukha2E. M. Burmistrov3O. S. Medvedeva4E. V. Rusakova5E. A. Siyanova6Е. I. Kondrateva7A. G. Chuchlin8A. L. Ginzburg9ФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииФГБНУ Медико-генетический научный центр, РАНФГБОУ ВО "РНИМУ им. Н. И. Пирогова Минздрава РоссииФГБУ «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н. Ф. Гамалеи» Минздрава РоссииRelevance. The absence of a system of epidemiological surveillance of chronic lung infection (CLI) in patients with cystic fibrosis (CF) led to the spread of Staphylococcus aureus, Pseudomonas aeruginosa, Burkholderia cepacia complex and Achromobacter spp. among patients with CF during hospitalizations, that is proved by numerous cases of infection in patients with CF treated in various Russian clinics.Aims. Determine the directions of epidemiological surveillance (ES) for CLI in patients with CF and preventive measures necessary to counteract the cross-infections among patients with CF and the spread of the dominant pathogens of CLI in the hospital.Materials and methods. A complex of epidemiological, microbiological and molecular genetic methods was used.Results and discussion. Based on the results of studies of the epidemiological and microbiological features of infections caused by the above-mentioned pathogens, the directions of ES and preventive measures for CF were determined. The tasks of the information-analytical unit, including the monitoring of morbidity and microbiological monitoring, are substantiated. It has been established that in the framework of microbiological monitoring, it is necessary to conduct bacteriological examination of biomaterial from the respiratory tract of patients with CF not less than 1 time per quarter, as well as at each outpatient visit and at hospitalization. The necessity of studying the phenotypic properties of pathogens contributing to long-term persistence in the patient's body of the CF, the definition and monitoring of the antibiotic sensitivity of microorganisms isolated from the patient over time, and the study of hypermutability was shown. One of the main tasks of monitoring is molecular genetic analysis of pathogens by PCR for the purpose of intraspecies identification, typing of pathogens and detection of epidemic markers and clones (including international ones), identification of genetic determinants of antibiotic resistance.Conclusion. The introduction of ES for chronic lung infection will improve the quality of etiological diagnosis, will contribute early identification of the sources of infections and prevent the spread of CLI pathogens among patients with CF in hospitals and in non-hospital conditions, as well as optimize the tactics of CLI antimicrobial therapy. The main directions of preventing the spread of CLI pathogens should be the separation of patients with various infections during outpatient examination and isolation during hospitalization.https://www.epidemvac.ru/jour/article/view/921муковисцидозхроническая инфекция легкихэпидемиологический надзормикробиологический мониторингпрофилактические мероприятия |
| spellingShingle | L. R. Avetisyan I. A. Shaginyan M. Yu. Chernukha E. M. Burmistrov O. S. Medvedeva E. V. Rusakova E. A. Siyanova Е. I. Kondrateva A. G. Chuchlin A. L. Ginzburg Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic Fibrosis Эпидемиология и вакцинопрофилактика муковисцидоз хроническая инфекция легких эпидемиологический надзор микробиологический мониторинг профилактические мероприятия |
| title | Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic Fibrosis |
| title_full | Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic Fibrosis |
| title_fullStr | Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic Fibrosis |
| title_full_unstemmed | Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic Fibrosis |
| title_short | Directions of Epidemiological Surveillance of Chronic Lung Infections Caused by <i>Burkholderia cepacia Complex</i>, <i>Achromobacter spp., Pseudomonas aeruginosa</i> and Methicillin-Resistant <i>Staphylococcus aureus</i> in Patients with Cystic Fibrosis |
| title_sort | directions of epidemiological surveillance of chronic lung infections caused by i burkholderia cepacia complex i i achromobacter spp pseudomonas aeruginosa i and methicillin resistant i staphylococcus aureus i in patients with cystic fibrosis |
| topic | муковисцидоз хроническая инфекция легких эпидемиологический надзор микробиологический мониторинг профилактические мероприятия |
| url | https://www.epidemvac.ru/jour/article/view/921 |
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